Individual
MRS. MARY ELIZABETH MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
6915 CRUMPLER BLVD STE A, OLIVE BRANCH, MS 38654-1907
(731) 577-1916
Mailing address
331 N ROSE RD, MEMPHIS, TN 38117-1500
(901) 490-1589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0953
MS
Other
Enumeration date
08/16/2023
Last updated
06/17/2024
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